Common Prospectus (+3)

Department of Higher Education, Government of Odisha

Admission to Degree Classes (+3) through Student Academic Management System (SAMS) for the Academic Session 2010-11 for 53 Degree Colleges.
tus rospec ep read th e filling the Please lly befor rm tion Fo refu ca lica on App F) Comm (CA

(Note : Applicants applying in two or more Common Application Forms (CAF) are liable to be rejected.) Ragging in any form is an offence & is punishable under Law

TABLE OF CONTENTS
1 ABOUT SAMS 1.1 1.2 1.3 1.4 1.5 OBJECTIVE OF SAMS CHANGES IN SAMS E-ADMISSION E-ADMINISTRATION COLLEGES UNDER E-ADMISSION 4 4 4 4 4 4 4 4 5 5 5 5 6 6 6 6 7 7 7 8 8 8 9 9 9 9 10 10

2 COMMON PROSPECTUS (CP) 3 COMMON APPLICATION FORM (CAF) 4 ELIGIBILITY 5 COST STRUCTURE 6 CONCEPT OF APPLIED & DESTINATION COLLEGE 7 IMPORTANT DATES (TENTATIVE) 8 APPLICATION PROCESS 8.1 8.2 8.3 8.4 8.5 WHERE CAF CAN BE APPLIED ON-LINE? HOW TO APPLY ON-LINE? SUBMISSION OF CAF CHECK LIST FOR SUBMISSION OF CAF AT THE APPLIED COLLEGE CAF VALIDATION PROCESS

9 PRINCIPLES OF SELECTION 9.11 HONOURS SELECTION 10 INTIMATION 11 ADMISSION PROCEDURE 11.8 CHECK LIST FOR ADMISSION 11.9 PROCEDURE TO DEAL WITH TRANSFER CASES 12 RESERVATION 12.1 SCHEDULED CASTE [SC] & SCHEDULED TRIBE [ST] 12.2 PHYSICALLY HANDICAPPED [PH]/ORTHOPEDICALLY HANDICAPPED [OH] 12.3 EX-SERVICEMAN [ESM]

12.4 SERVING DEFENCE PERSONNEL [SDP] 12.5 CHILDREN OF MARTYRS (COM) 12.6 ORIYA LIVING IN NEIGHBOURING STATES [OLNS] 13 WEIGHTAGE 13.1 13.2 13.3 13.4 13.5 13.6 NCC NSS ROVER & RANGER SPORTS & GAMES WOMEN FOR STREAM ADMISSION OF CANDIDATES FROM OUTSIDE STATE OF ORISSA (OSA)

10 10 10 10 10 10 10 10 11 11 11 11 11 12 12 13 14 16 17 18 19 20 21

14 CERTIFICATES & DOCUMENTS 15 IMPORTANT NOTES 15.1 RESERVATION 15.2 WEIGHTAGE 15.3 GENERAL 16 ANNEXURE-1 (LIST OF DEGREE COLLEGES FOR SAMS 2010) 17 ANNEXURE-2 (SAMPLE OF ON-LINE CAF & INSTRUCTION FOR FILLING IT) 18 ANNEXURE-3 (LIST OF EQUIVALENT BOARD) 19 ANNEXURE-4 (SAMPLE COPY OF INTIMATION LETTER) 20 ANNEXURE-5 (CAF COLLEGE COPY) 21 ANNEXURE-6 (CAF APPLICANT COPY) 22 ANNEXURE-7 (UNDERTAKING) 23 ANNEXURE-8 (ADDITIONAL INFORMATION FORM)

Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

About SAMS
SAMS stands for Student Academic Management System. It was initiated in 2009-10 Academic Session for 60 Junior Colleges. Its objective is to;

1.1

Objective of SAMS
Ensure single window system for admission though e-Admission process Make the admission process economical for the applicants / parents. Make the entire process of admission from application stage to admission transparent, thereby, reducing anxiety among applicants / parents. Reduce the work of colleges by developing several modules of administration using the database of admission process.

1.2

Changes in SAMS
In 2010-11 Academic Session, some changes have been brought into the SAMS 2010 process.

1.2.1. One of the major changes is ON-LINE application for the college seats. 1.2.2. There will no Preliminary Admission in 2010-11 SAMS e-Admission.

1.3

e-Admission
e-Admission aims to use Information Technology to process applications for admission which would reduce time & improve efficiency for the college functionaries who have been doing it manually. It would also make the admission process economical, efficient, hassle free & transparent for the students and their parents. The students/parents have to apply on-line for a maximum of TEN options (College/Stream/Honours), take print of the computer generated filled application form and travel to only one of the 53 colleges under e-Admission process to submit the application to get admission to any stream of any college of their choices.

1.4

e-Administration
e-Administration aims to use the database of e-Admission in various academic & administrative activities like issue of identity card, collection of fees, section allocation, issue of admit cards, tabulation of internal examinations marks, submission of return of matriculates to Universities, preparation of long roll, etc. It will follow e-Admission in pilot phase colleges. In other colleges, student database will have to be created to make e-Administration possible.

1.5

Colleges under e-Admission

Basing on the success of e-Admission for Junior Colleges, it is decided that the e-Admission for +3 level will be done in 53 Degree Colleges, those are attached to 60 Junior Colleges in SAMS 2009. The list of colleges are given in Annexure-1.

Common Prospectus (CP)

It has two components. One part is general guideline & second one is individual college profile. It will be available in Higher Education website www.dheorissa.in in downloadable format to take printout. A. The first part of CP will have features of e-Admission like Selection Guidelines, Reservation & Weightage Principles, etc. You are presently going through the first part of CP. B. In the second part of CP, the individual college profile will have features like Seat Availability, Subject Availability, Honours Availability, College Admission Cut-off of mark of last 2-years for various Streams, Hostel Seat Availability and Total Fees required for admission for each of the 53 Degree Colleges which is available on-line in www.dheorissa.in.

Common Application Form (CAF)

The Common Application Form (CAF) is to be used for applying for admission to +3 classes of 53 Degree Colleges. It will be filled on-line. It has fields for the +2 Council details like (Council Name, Year of Passing & Admit Card Number), correspondence address, personal information, reservation & weightage details, etc. CAF has been restricted to maximum 10 Options to put your choices of College/Stream/Honours in order of preferences where one would like to study. The sample copy of on-line CAF is given in Annexure-2 along with the instruction to fill in the same.
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Higher Education Department, Govt. of Odisha

3.1.

Applicant has to be careful about filling up options as ones selection depends upon his/her choices and his/her marks. Please make an informed choice taking into account your marks in Higher Secondary (+2) Examination and the Cut-off marks of +3 streams of last 2-years in the colleges where you want to apply. If one gets selected against his/her FIRST option, his/her other options shall not be considered for 2nd Selection.

Common Prospectus | Degree | SAMS 2010

3.2.

Some students who take admission against his/her SECOND/LOWER options during 1st selection admission get slide up during 2nd selection and got their higher choice college but wanted to continue in the 1st selection college. To accommodate them, all students who get lower choices may exercise an option either to be part of 2nd selection or not at the time 1st selection admission. These who do not want to be a part of 2nd selection wont be considered for the same. Common Application Form (CAF) & Common Prospectus (CP) wont be printed by colleges. These will available in the website www.dheorissa.in. Applicants may download the relevant pages from the internet and print the same for their use. A part of the CP contains the general matters, process & principles for admission will be provided and sold at the colleges for Rs. 10/per copy.

3.3.

4
4.1.

Eligibility
The minimum eligibility for admission to +3 classes shall pass in Higher Secondary Examination (HSC) of the Council Higher Secondary Examination (CHSE), Orissa or its equivalent. The list of equivalent Boards is at Annexure-3 communicated by CHSE, letter no. 2637, Dtd: 18-May-2010. A student passing +2 Science can apply for all the streams at +3 level. A student passing +2 Arts or +2 Commerce can apply either for +3 Arts or for +3 Commerce stream. A student who wishes to apply for CBZ stream in +3 Science should have Biology at +2 level.

4.2. 4.3.

Cost Structure
The applicant will apply CAF on-line and take a print of this on-line filled CAF and submit at nearby SAMS colleges. Applicant can only give maximum 10 options (College/Stream/Honours). As per the choice applied in CAF the applicant will give required fees at the college counter while submitting the application. For one or first choice applicant has to give Rs. 100/- and for other choices Rs. 50/- for each. In this way, if an applicant has given 10 choices then s/he has to pay 100 + (9X50) = Rs. 550/-. This amount is to be deposited in cash at the college counter. Out State Applicants (OSA) need to send this amount by Bank Draft only in favour the Principal of the college where CAF is being sent.

Concept of Applied & Destination College

Applied College, where the applicant submits his/her application Destination College, where the applicant selected to take admission

Important Dates (Tentative)

These dates have been finalized on assumption that CHSE, Orissa will declare +2 Council results on 22-May-2010. If the declaration of CHSE (O) results is delayed, then these dates will be shifted by that many days and will be notified in the newspaper. Sl# 1 2 3 4 5 6 7 8 9 10 11 Activities Last date of applying on-line Last date of submission of CAF in any of 53 Degree Colleges Publication of First selection list Admission of First selection for applicants at Destination College Publication of Second selection list Admission of Second selection for applicants at Destination College Publication of ST/SC Extension Seat Admission of ST/SC Extension Seat Publication of list for admission to Balance Seat Admission to Balance Seat Classes start for 1st year student (in all 53 Degree Colleges) Date Line 07-Jun-2010 10-Jun-2010 18-Jun-2010 26-28 Jun 2010 03-July-2010 07-08 July 2010 12-July-2010 14-July-2010 15-July-2010 16-July-2010 20-July-2010

The above dates are applicable to all Degree Colleges of the State which includes SAMS and Non SAMS Degree/Autonomous Colleges. No Degree college should fix any other dates for admission.
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Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

Application Process
The CAF will be available in www.dheorissa.in for applying on-line. There will be one Common Application Form (CAF) for admission to any stream of any of the 53 Degree Colleges selected for e-Admission 2010. It is also decided to have one Common Prospectus (CP) for these 53 colleges. The CP will also available on-line to download in PDF format. The first of CP (General Guidelines) shall be made available at colleges for purchase @ Rs. 10/-. However, the second part of CP (Individual College Profile) shall be available in Internet which the applicants may download and take a print.

8.1

Where CAF can be applied on-line?

The on-line CAF is widely available in the Internet though the Higher Education Department website (www.dheorissa.in). It can be accessible in the Cybercaf, Common Service Center, Facility Center by SAMS Colleges.

8.2
8.2.1 8.2.2 8.2.3

How to apply on-line?

Go the Higher Education Department website (www.dheorissa.in). Click on the On-Line CAF in its home page Fill-up the form on-line (you may upload your recent passport size colour photograph in the space provided for the same).
Note Use TAB Key of the Keyboard to move from one box to next one. Wherever, any box has a Select Filed, you have to click on Select and you will get a list of data relating to that field. You have to click on the Data Filed relevant to you and then move to the next filed. Example For State box, once you click on Select in the box, the list of states will be displayed. You have to move the Mouse Curser to your state, say ODISHA & which on the same to fill in the box.

8.2.4

After filling up click on the submit button. Then wait for another page to come. This page will give you confirmation of your submission and indicate a Reference Number. This Reference Number will be used for modifying your CAF, if you want to modify it before submission the printed copy to the Applied College. After submission, a password will be recorded in the bottom of the application form (Applicant Copy). This will be useful if you want to modify your application form before submitting it in the Applied College. This Reference Number & Password (given at the time of submission of on-line form) may be used in the Internet to change / modify your on-line submitted CAF. Then click on Print CAF button and save it in your computer. You will get two copies of the submitted form one is College Copy and another is Applicant Copy. Then take a copy of both College & Applicant copy. Affix your self attested (on the front) recent colour passport size photographs in the College Copy. The applicant and his/her parent/guardian has to sign in the College Copy before submitting the same. NB: Only computer generated CAF will be accepted at the SAMS College (53 College for +3). CAF filled by HAND or DTP will not be accepted.

8.2.5

8.2.6 8.2.7

8.2.8

8.2.9

There are also facility centers will be operated during the application period & Common Services Centers or Jana Seva Kendras of OCAC are also being activated to help the applicants in filling up the on-line CAF. An applicant has to pay Rs. 10/- for Internet Charges & Rs. 5/- per page of print out (of B/W A4 Size) for completing the on-line application & for taking print out for submitting at 53 SAMS Degree Colleges Receipt Counters.

8.3
8.3.1 8.3.2

Submission of CAF
The duly signed College Copy and Applicant Copy of the CAF along with relevant documents to be submitted at the nearest SAMS College (53 Degree Colleges). When the applicant submits the college copy of the application form, the college authorities will acknowledge the same by recoding a Money Receipt-cum-Index Number (MRIN) on Applicant
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Higher Education Department, Govt. of Odisha

Copy of the application form. This MRIN shall be the KEY to all queries for applicant regarding eAdmission 2010.

Common Prospectus | Degree | SAMS 2010

8.3.3 8.3.4

The MRIN will be generated from the CAF Receipt Register and given to the student and will be updated in the website (www.dheorissa.in). Other State Applicants (OSA) can send the CAF by post. The duly filled CAF should reach on or before the expiry of the date-line. The fees for CAF options need to be sent by Bank Draft by the OSAs in favour the Principal of the college where CAF is being sent.

8.4
8.4.1 8.4.2 8.4.3 8.4.4 8.4.5 8.4.6 8.4.7 8.4.8

Check List for submission of CAF at the Applied College

Computer (Net) generated College Copy duly signed by applicant and parent/guardian Computer (Net) generated Applicant Copy Certified true copy of the Higher Secondary (+2) Mark Sheets-cum-Provisional Certificate (or equivalent Board). The list of equivalent Boards is enclosed at Annexure-3. Certified true copy of the Compartmental Higher Secondary (+2) mark sheet (if any) Certified true copies of the certificates for reserved category from appropriate authority Certified true copies of the certificates for weightage category from appropriate authority Self signed (on the front side) colour passport size photograph to be affixed in the CAF. Certified true copy of Resident/Nativity Certificate for Other State Applicants (OSA) & Oriya Students Living in Neighbouring State (OLNS)

8.5
8.5.1 8.5.2 8.5.3

CAF Validation Process

Applicant cannot change any data after submission of on-line filled CAF at the college counter. The e-Admission Team Member will validate the submitted application on-line by comparing with the relevant documents like mark sheets, reservation & weightage certificates, etc. For benefit of applicants, a sample of filled up CAF, College Copy & Applicant Copy is enclosed at Annexure-5 & Annexure-6 respectively.

9
9.1. 9.2.

Principles of Selection
Admission into various Colleges, Streams & Honours shall be decided strictly on the basis of merit. Total marks secured at the Higher Secondary (+2) Examination w.r.t Total Marks, Weightage & Reservation (if applicable) will be taken into consideration in preparing the merit list. For Reservation & Weightage, please refer items 12 & 13 of the prospectus (CP). In case of candidates passing the Higher Secondary (+2)/Equivalent Examination compartmentally, average of marks secured in the subject/s concerned at both the examinations shall be taken into consideration to determine the aggregate. For applicants who have secured equal marks in the +2 Council Examination and have opted for same stream, their merit will be decided on the basis of marks in English/MIL for Arts & Commerce Streams and English/ Chemistry for Science Stream.
For Example:If there are two applicants who have opted for one college and one stream (Honours/Pass) and have same marks in +2 Council Examination, then if it is for Arts/Commerce streams, then the applicant who has more marks in English will get preference. If English marks of both applicants are also same, then marks in MIL will determine the selection. For Science Stream English/Chemistry marks will be deciding factor in similar sequence.

9.3.

9.4.

9.5. 9.6. 9.7. 9.8.

Any applicant, if selected, will be given only one confirmed seat according to his/her choice of preferences in CAF in the intimation letter after 1st selection and/or 2nd selection. Status of the higher choices of preference in the CAF will also be intimated (Please see Annexure-4 as an example of waiting list position for higher options). If an applicant gets selected to the seat of his/her 1st choice of preference as per the CAF, then his/her name wont be considered for other choices of preference in the 2nd selection. If an applicant gets selected against any choice other than 1st preference in 1st selection, s/he will be considered for higher preference choices in the 2nd selection.
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Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

Note:Students who take admission against lower options in the 1st selection may slide up during 2nd selection and got their higher choice college but may want to continue in the 1st selection college. To accommodate them, all students who get lower choices may exercise an option (by giving an undertaking) either to be part of 2nd selection or not at the time 1st selection admission. These who do not want to be considered for 2nd selection wont be considered from the same. A sample format for such form is at Annexure-7.

9.9.

In case a student takes admission against 2nd or 3rd choice of preference but gets 1st choice in 2nd selection, the, s/he can take transfer to the college of his/her 1st choice without forfeiting the deposited college fees except the College Development Fees. However, if an applicant has taken admission in a college as per the 1st or 2nd selection but goes to take admission for the Balance Seats in a higher choice, she will have to deposit the entire admission fees in the new college. The old college where s/he had taken admission will not remit the admission fees to the new college.

9.10.

There will be 4 stages of admission (a) First Selection Admission, (b) Second Selection Admission, (c) ST/SC Extension Seat Admission (d) Balance Admission from Merit List. For above admission SAMS Steering Committee shall provide the list to the SAMS colleges for admission.
Note:Honours Subject & Pass Subject wont be indicated in the intimation letter of selected applicants. The destination college will allocate as per the merit list and as per options of applicants in the CAF.

9.11

Honours Selection
Honours selection will be done at the respective Destination College where applicant takes final admission. The college will conduct a counseling process basing on the merit list. The criteria for securing 40% marks in individual subject for getting Honours has been removed from this Academic Year.

9.12.

Any applicant opting for PCM in +3 Science stream will have choice of Honours for either Physics, Chemistry, Mathematics, Statistics, Geology, Computer Science or Information Technology. It may be noted that Computer Science & Information Technology are both self financing courses for which one has to pay extra amount as detailed in individual college profile. Any applicant opting for CBZ in +3 Science stream will have choice of Honours for either Botany, Zoology, Micro Biology or Bio-Technology. Micro Biology and Bio-Technology are both self financing courses for which one has to pay extra amount as detailed in individual college profile. Tentative date for Honours selection at college level 9th & 10th July 2010 i.e. after 2nd selection admission. College authorities will notify the exact date on the notice board for benefit of students who take admission during 1st & 2nd selection admission dates.

9.13.

9.14.

10
10.1. 10.2. 10.3. 10.4.

Intimation
Intimation for e-Admission will be communicated through; SMS (if mobile number is provided in the CAF) e-Mail (if mobile e-mail address is provided in the CAF) Applicants can get the information by giving their Index-cum-Money Receipt Number from Toll Free Number (155335) working day 10:00 A.M. to 5:00 P.M. Official Website www.dheorissa.in. From this website selected candidates can download the intimation letter. This download intimation letter or the Applicant Copy of CAF will be necessary for admission at Destination College. A sample copy of Intimation Letter is at Annexure-4. Notice board of Applied College (where applications are submitted).
Note: As there is no postal intimation, applicants are requested to access any of the above fire modes of intimation on predetermined dates.

10.5.

11
11.1. 11.2.

Admission Procedure
Applied College for an applicant is one where the applicant submits the CAF. Destination College of an applicant is the college where s/he gets selected for admission as per his/her choice & marks in the Higher Secondary (+2) Examination.
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Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

11.3. 11.4. 11.5.

An applicant has to produce all the certificates in original at the Destination College for admission. An applicant has to submit 3 colour passport size photographs (signed by him/her) at the time of admission. Additional information of the admitted students will be collected in a separate form, which will be used for e-Administration purposes by college authorities. A sample copy of Additional Information Form is given at Annexure-8. Applicants, whose Destination College is different from their Applied College, will submit a second set of Xerox copies of relevant documents for records of the Destination College i.e. the college where one is taking admission. Hostel will be allotted after admission at the Destination College as per the preferences given in the CAF and as per merit of applicant & availability of seats.

11.6.

11.7.

11.8

Check List for Admission

11.8.1 Original Certificates (As per Intimation Letter) 11.8.2 Total fees required for admission as mentioned against the in the Common Prospectus in the shape of Cash/Bank Draft. 11.8.3 3 copies of recent colour passport size photographs.

11.9

Procedure to deal with transfer cases

11.9.1 If a candidate who has taken admission on basis of 1st selection gets selected for his/her higher choices in 2nd selection, two situations may arise. a) If an applicants Destination College in 2nd selection is different than the 1st selection b) There could be a change of stream in the same Destination College in 2nd selection. For situation (a): The applicant would report at the 2nd selection Destination College and surrender his/her CLC from the 1st selection destination college and deposit only College Development fess of the that particular college. (b): For change of Stream in the 2nd selection (due to up-gradation), Destination College remaining the same, there would no need for the applicant to approach the college for any endorsement. This would be done at the college level subsequently. 11.9.2 For transfer of Funds/Bank Drafts, it would be done after all admissions are over among the colleges. The Principals of respective colleges would transfer the funds to respective colleges on the transfer cases as mentioned above.

12
12.1

Reservation
Scheduled Caste [SC] & Scheduled Tribe [ST]

12.1.1 SC - 8% of the sanctioned strength shall be reserved for SC applicants 12.1.2 ST - 12% of the sanctioned strength shall be reserved for ST applicants 12.1.3 The reserved seats are not interchangeable between SC&ST. 12.1.4 SC/ST applicants selected for admission on merit shall not be counted against reserved seats. 12.1.5 Additional seats for SC & ST students to the extent of 8% for SC & 10% for ST will be provided under the following conditions. a) Seat normally reserved for that category of students, i.e. SC or ST has been fully utilized. b) Even after the reserved seats have been fully utilized, student of either or both the categories who have secured 40% or more (for Arts & Commerce) or 50% or more (for Science) in the qualifying examination have failed to secure admission to Arts/Commerce or Science/Commerce stream respectively [G.O. No. 36979 Dt. 23/09/04 of Department of Higher Education] 12.1.6 However any modification made by the Government in the reservation policy will be followed during admission. 12.1.7 Reserved seats lying vacant after 2nd selection admission would be de-reserved.
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Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

12.2

Physically Handicapped [PH]/Orthopedically Handicapped [OH]

3% of sanctioned seats shall be reserved for PH / OH Students (Extent of handicap not below 40%).

12.3 12.4

Ex-Serviceman [ESM]
1% of the sanction seats shall be reserved for Self/Children/Wife/Husband of Ex-Serviceman.

Serving Defence Personnel [SDP]

1% of the sanction seats shall be reserved for Self/Children/Wife/Husband of serving defense personnel. (G.O. No. 55588/HE, Dt. 16.10.2000)

12.5 12.6

Children of Martyrs (CoM)

2% of seats sanctioned are reserved for the children of martyrs.

Oriya Living in Neighbouring States [OLNS]

Admission on merit from Oriya students living in neighbouring state shall be reserved up to 5% (1% for any particular state) of the sanctioned strength. For the purpose of admission, an applicant will be considered as OLNS, if s/he has passed the HSC examination or equivalent examination from any school situated in the neighbouring state of Orissa. (Andhra Pradesh, Chhattisgarh, Jharkhand, Bihar & West Bengal).

13

Weightage
The 10% of seat in each stream shall be filled up by weightage candidate. This 10% seats will be proportionately distributed among reserved category. An applicant who is selected under weightage category (10%) and takes admission will continue to remain under weightage category even if cut-off mark is reduced in subsequent selection.

13.1

NCC

13.1.1 Applicants holding certificate B shall be given Weightage of additional 10% of marks over and above the aggregate marks secured at the Higher Secondary (+2) or Equivalents examination. 13.1.2 Applicants who have represented the at the All India level NCC Camps/ Courses/ Activities shall be given Weightage of additional 5% of marks over and above the aggregate marks secured at the +2 Council or Equivalents examination.

13.2

NSS

13.2.1 Applicants who have represented the country at International Level Camp shall be given direct admission. 13.2.2 Applicants who have represented the state at National Level Camp shall be given Weightage of additional 7% of marks over and above the aggregate marks secured at the CHSE/Equivalent examination. 13.2.3 Applicants who have represented the inter State Category Camp shall be given Weightage of additional 5% of marks over and above the aggregate marks secured at the CHSE/Equivalent examination. 13.2.4 Applicants who have got the best NSS Volunteer award in University level shall be given Weightage of additional 3% of mark over and above the aggregate marks secured in CHSE/Equivalent examination.

13.3

Rover & Ranger

13.3.1 If Applicants producing the original certificate signed by the President of India shall be given Weightage of additional 10% of marks over and above the aggregate marks secured at the Higher Secondary (+2) / Equivalent examination 13.3.2 If Applicants producing the original certificate signed by the Governor of State (Rajya Purashkar) shall be given Weightage of additional 5% of marks over and above the aggregate marks secured at the CHSE/Equivalent examination

13.4

Sports & Games

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13.4.1 Applicants who have represented the country at International Level shall be given direct admission.

Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

13.4.2 Applicants who have represented the state at National Level shall be given Weightage of additional 10% of marks over and above the aggregate marks secured at the HSC/Equivalent examination. 13.4.3 Applicants who have represented the school at the Inter State School Sports Meet level shall be given Weightage of additional 5% of marks over and above the aggregate marks secured at the HSC/Equivalent examination.

13.5

Women for Stream

13.5.1 Women applicants opting for a stream in which, teaching facility is not available in any of the local womens colleges shall be given Weightage of 5% of marks over and above the aggregate marks secured at the CHSE/Equivalent examination 13.5.2 Women candidates availing of the weightage for a stream shall not be allowed to change the stream subsequently.

13.6
14.8

Admission of candidates from Outside State of Orissa (OSA)

The number of students admitted from outside Orissa to any class shall not exceed five percent (5%) of the total number of sanctioned seat of the class subject to maximum of one percent (1%) of the total seat for the candidates of a given State/ Union Territory of India.

13.5.1. For the purpose of admission, an applicant will be deemed to be from outside the State of Orissa if he/she has passed the Higher Secondary (+2) / Equivalent examination from any school situated outside State of Orissa.

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14.1.

Certificates & Documents

The following documents & certificates are to be submitted at the time of submission of CAF. Higher Secondary (+2) Mark Sheets-cum-Provisional Certificate (or equivalent Board). If an applicant has not received the mark sheet from the board in-time, then the downloaded mark sheet from Internet will be admissible. Conduct certificate from the institution last attended. Schedule Tribe/ Schedule Caste certificates from revenue officer not below rank of Tahasildar/Additional Tahasildar. For ST applicants, his/her fathers caste certificate may be taken into consideration. PH/OH certificate from CDMO/SDMO/CMO of Capital Hospital (in case of Bhubaneswar). Ex-Service Man certificate from Zilla Sainik Board. Service Defence Personnel-SDP (Army/Navy/Air Force) Certificate from the Commanding Officer of the unit. Children of Martyrs (CoM) certificate from the District Collector. NCC certificate from the Group Commandant / Camp Commandant. NSS certificate from the State Programme Coordinator.

14.2. 14.3.

14.4. 14.5. 14.6. 14.7. 14.8. 14.9.

14.10. Migration certificate for the applicant from other Boards except CHSE, Orissa 14.11. Permanent resident/nativity certificate (for OSA & OLNS candidates). 14.12. Sports certificate and counter signed by Director, Sports of the State. 14.13. Ranger & Rovers certificate from the competent authority.

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15.1

Important Notes
Reservation

15.1.1. In case there are no applicants in any of the reserved category, the seats will be de-reserved and filled up by the general category applicants. 15.1.2. No seats shall remain reserved for any category beyond the normal date of admission.
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Higher Education Department, Govt. of Odisha

SC/ST applicants selected for admission on merit basis shall not be counted against reserved seats.

Common Prospectus | Degree | SAMS 2010

15.2

Weightage

15.2.1. No weightage shall be given in any category if the achievement has not been made within two years before the last date of CAF submission at the Applied College. 15.2.2. Not more than 10% of seats in each stream shall be filled up on the basis of weightage for various extracurricular activities/unavailability of stream in local womens college. 15.2.3. An applicant can claim weightage to a maximum of 10% over the total mark secured. 15.2.4. Weightage is only for purpose of admission. It shall not be considered for any other preferential treatment such as allotment of subject/hostel. 15.2.5. An applicant who is selected under weightage category (10%) and takes admission will continue to remain under weightage category even if cut-off mark is reduced in subsequent selection. 15.2.6. An applicant who is selected under weightage category (10%) and takes admission will continue to remain under weightage category even if cut-off mark is reduced in subsequent selection.

15.3

General

15.3.1. Certified true copies of documentary evidence must be attached with the CAF to be considered under the reservation & weightage category 15.3.2. If an applicant, whose parents are permanent resident of Orissa has passed HSC or equivalent examination without Oriya as a subject form out side of Orissa. S/he may be considered to be from within Orissa. S/he has to produce a permanent resident/nativity certificate from the District Magistrate/Tahasildar to the effect that her/his parents were resident of that district of Orissa. 15.3.3. Vacancies arising out of transfer will be filled up from the same category of student. 15.3.4. CAF incomplete in any respect will be rejected. 15.3.5. Applicants applying in two or more Common Application Form (CAF) are liable to be rejected. 15.3.6. Computer (Net) generated CAF will only be accepted.

12

Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

16 Annexure-1 (List of Degree Colleges for SAMS 2010)

SL# 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 Code 01041902 02111403 02111904 03071302 04091902 05071304 05071405 05071907 06042301 07101302 07181403 08042302 09041403 09041904 10091902 11071304 11071905 11071906 11191401 11321302 12092902 13111902 14082303 15081403 15081904 16141403 16141904 17102905 18171403 18171904 19051304 19051905 19051906 19056370 20061403 20061904 20171303 22191602 22191904 23052302 24102903 26151403 26151904 27142903 28111302 28141403 28141904 29082302 30101304 30101405 30101906 30211303 30211404 District Angul Balasore Balasore Bargarh Bhadrak Bolangir Bolangir Bolangir Boudh Cuttack Cuttack Deogarh Dhenkanal Dhenkanal Gajapati Ganjam Ganjam Ganjam Ganjam Ganjam Jagatsinghpur Jajpur Jharsuguda Kalahandi Kalahandi Kandhamal Kandhamal Kendrapara Keonjhar Keonjhar Khurdha Khurdha Khurdha Khurdha Koraput Koraput Koraput Mayurbhanj Mayurbhanj Nawarangpur Nayagarh Puri Puri Rayagada Sambalpur Sambalpur Sambalpur Sonepur Sundergarh Sundergarh Sundergarh Sundergarh Sundergarh Name Government (Autonomous) College, Angul Kuntala Kumari Sabat Women's (Degree) College, Balasore Fakir Mohan (Autonomous) College, Balasore Panchayat (Degree) College, Bargarh Bhadrak (Autonomous) College, Bhadrak Government (Degree) College, Bolangir Government Women's (Degree) College, Bolangir Rajendra (Autonomous) College, Bolangir Boudh Panchayat (Degree) College, Boudh Jatiya Kabi Bira Kishore Government (Degree) College, Cuttack Shailabala Women's (Degree) College, Cuttack Deogarh (Degree) College, Deogarh Government Womens (Degree) College, Dhenkanal Dhenkanal (Autonomous) College, Dhenkanal Sri Krushna Chandra Gajapati (Autonomous) College, Paralakhemundi Binayak Acharya (Degree) College, Aska Road Khalikote (Autonomous) College, Berhampur Sashi Bhusan Rath Government (Autonomous) Women's College, Berhampur Niranjan Government (Degree) Women's College, Aska Government Science (Degree) College, Chhatrapur Swami Vivekananda Memorial (Autonomous) College, Jagatsinghpur Narasingh Choudhury (Autonomous) College, Jajpur

Laxmi Narayan (Degree) College, Jharsuguda

Government Women's (Degree) College, Bhawanipatna Government (Autonomous) College, Bhawanipatna Sanjaya Memorial Government Women's (Degree) College, Phulbani Government (Autonomous) College, Phulbani Kendrapara Autonomus College, Kendrapara Government Women's (Degree) College, Keonjhar Dharanidhar (Autonomous) College, Keonjhar Rajdhani (Degree) College, Bhubaneswar Buxi Jagabandhu Bidyadhar (Autonomous) College, Bhubaneswar Rama Devi Women's (Autonomous) College, Bhubaneswar Basic Science (Degree) College, Bhubaneswar Government Women's (Degree) College, Jeypore Vikram Dev (Autonomous) College, Jeypore D.A.V. (Degree) College, Landiguda, Koraput Government Women's (Degree) College, Baripada Maharaja Purna Chandra (Autonomous) College, Baripada Nawarangpur (Degree) College, Nawarangpur Nayagarh (Autonomus) College, Nayagarh Government Women's (Degree) College, Puri Samanta Chandra Sekhar (Autonomous) College, Puri Rayagada (Autonomus) College, Rayagada Netaji Subash Chandra Bose (Degree) College, Sambalpur Government Women's (Degree) College, Sambalpur Gangadhar Meher (Autonomous) College, Sambalpur Sonepur (Degree) College, Sonepur Rourkela (Degree) College, Rourkela Sushilabati Government Women's (Degree) College, Rourkela Government (Autonomous) College, Panposh, Rourkela Government (Degree) College, Rangadhip, Sundergarh Government Women's (Degree) College, Maheshdihi, Sundergarh
13

17

Higher Education Department, Govt. of Odisha

Annexure-2 (Sample of On-line CAF & Instruction for filling it)

Common Prospectus | Degree | SAMS 2010

CommonApplicationForm
forAdmissiontoDegreeColleges
DepartmentofHigherEducation,GovernmentofOrissa 1 +2CouncilDetails
(Asinadmitcard)

+3
Affixyourself attested(onthe front)recent colour passportsize photographhere

a.

NameoftheExaminationBoard Select

b.

YearofPassing Select

c.

RollNumber

2 Applicant'sName 3 Father'sName 4 Mother'sName 5 PersonalDetails a.

BloodGroup Select

b.

Sex Select

c.

Religion Select

d.

DateofBirth DD/MM/YYYY

6 AddressforCorrespondence a. d. f.
State Select

b.

District

Select

c. e.

Block/ULB

Select

HouseNo.,Street/Village,PostOffice, PoliceStationName Telephone STDCode Number

PINCode

g.

Mobile

h.

email

7 ReservationDetails a. c. d. e.
ScheduleTribe(ST) ScheduleCaste(SC) Others

b.

Physically/Orthopedically Handicapped(PH/OH)

ExServiceMan(ESM) AreyouanOutsideStateApplicant(OSA)?

ServingDefencePersonnel(SDP) Yes Yes No No

ChildrenofMartyrs(CoM) Ifyes,pleasegivetheStateName Ifyes,pleasegivetheStateName Select Select

AreyouOriyaLivinginNeighbouringState(OLNS)?

8 WeighatgeDetails a. NCC
NCC(B) NCC(C)

b. NSSCamp
UniversityLevel StateLevel NationalLevel InternationalLevel

c. Rover&Ranger
RajyaPuraskar(RP) PresidentRecognition(PR)

d. Sports&Games
InterState NationalLevel InternationalLevel

9 Marksecuredineachsubjectin+2CouncilExamination
a. NameoftheStreamyouhavepassed
Arts Science Yes Commerce No Ifyes

b. Subjectwisemark
detailsasperthe tablegiven

MIL

English

Chemistry

TotalMark Maximum Secured Mark

c.

Haveyoupassed10thBoard ExamCompartmentally?

NameoftheSubject

Failmarkinpreviousexam

PassmarkinCompartmentalexam

10 Option(s)/Choice(s)Details a.
c.
College Name Select

b.
First

Stream Name Second

Arts Third

Science (PCM)

Science (CBZ)

Commerce Yes No

Honours Pass

d.

Honoursinrderof preference

SelectSelectSelect

e.

Areyouinterestedtoreside inhostel

ADDMORE
14

Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

Instruction for filling CAF

There are four types of input field in this on-line Common Application Form (CAF). (1) Select Box (2) Text Box (3) Radio Button & (4) Check Box

1. Select Box To fill up this input field the applicant has to click anywhere in the box by using Mouse. Upon clicking the list of options will be show up on the computer screen. Then click on the option of your choice. This option will be filled in the box. Please move to the next item. Following items in CAF will have Select Box. Above procedure is to be used to fill these items.
(1.a) Name of the Examination Board, (1.b) Year of Passing, (5.a) Blood Group, (5.b) Sex, (5.c) Religion, (6.a) State, (6.b) District, (6.c) Block/ ULB, (10.a) College Name, (10.c) Honours in order of preference

2. Text Box For this type of input field, the applicant has to write or Type in the required information by using Key Board. For example Name in the side box has been filled by in typing. Following items in CAF, will have Text Box. Please follow the above procedure is to fill in these items.
(1.c) Roll Number, (2) Applicant's Name, (3) Father's Name, (4) Mother's Name, (5.d) Date of Birth, (6.d) House No., Street/Village, Post Office, Police Station Name, (6.e) PIN Code, (6.f) Telephone, (6.g) Mobile, (6.h) e-mail, (9.b) Details of marks secured in 10th Board Examination, (9.c) Details of marks secured in 10th Board Compartmental Examination

3. Radio Button For this type of input field, the applicant has to click on the appropriate circle by moving the mouse to the circle and then clicking. Here applicant can choose only one option out of the several ones given. For example; Yes or No as has given in the right side. Following items in CAF is to be filled by the Radio Button method.
(7.a) Schedule Tribe (ST) / Schedule Caste (SC) / Others, (7.c) Ex-Service Man (ESM) / Serving Defence Personnel (SDP) / Children of Martyrs (CoM), (7.d) Are you an Outside State Applicant (OSA)? (Yes/No), (7.e) Are you Oriya Living in Neighbouring State (OLNS)? (Yes/No), (9.a) Name of the stream you have passed, (9.c) Have you passed 10th Board Exam Compartmentally? (Yes/No), (10.b) Stream Name, (10.c) Honours or Pass (10.e) Are you interested to reside in college hostel.

4. Check Box For this type of input field the applicant has to click on the appropriate box by moving the mouse to the check box (Rectangle) and then clicking. Here, one can choose more than one record in this item e.g. NCC(A) & NCC (C) for item 8(a) of CAF (Please see side box) Following items in CAF is to be filled by the Check Box method.
(7.b) Physically/Orthopedically Handicapped (PH/OH), (8.a) NCC (B & C), (8.b) NSS Camp (University Level, State Level Camp, National Level Camp and International Level Camp) (8.c) Rovers & Ranger [Rajya Puraskar (RP) & President Recognition (PR)], (8.c) Sports (State, National & International)

15

18 Annexure-3 (List of Equivallent Board)

List of Boards Conducting +2 (Higher Secondary) Examinations which are declared equivalent to the Higher Secondary Certificate Examination conducted by the Council of Higher Secondary Education, Orissa
Sl# State 1 2 3 4 5 6 7 8 9 Andhra Pradesh Andhra Pradesh Andhra Pradesh Andhra Pradesh Andhra Pradesh Assam Assam Assam Bihar Short Name Andhra University APBIE, Andhra Pradesh APBSE, Andhra Pradesh BIE, Andhra Pradesh Osmania University AHSEC, Assam ABSE, Assam Gouhati University BIEC, Bihar BSEB, Bihar CMSM, Chhatisgarh Ch.BSE, Chhattisgarh GBS&HSE, Goa GSEB, Gujurat HSEB, Hariyana BSE, Haryana Equivalent Board Andhra University Andhra Pradesh Board of Intermediate Education, Andhra Pradesh Andra Pradesh Board of Secondary Education, Andra Pradesh Board of Intermediate Education, Hyderabad Osmania University, Hyderabad Assam Higher Secondary Education Council, Assam Assam Board of Secondary Education, Assam Gouhati University, Assam Bihar Intermideate Education Council, Bihar Bihar School Examination Board, Bihar Chhatisgarh Madhyamic Sikshya Mandal, Chhatisgarh Chhattisgarh Board of Secondary Education, Chhattisgarh Goa Board of Secondary & Higher Secondary Education, Goa Gujuart Secondary Education Board, Gujuart Hariyana School Education Board, Hariyana Board of School Education, Haryana Himanchal Pradesh Board of School Education, Himanchal Pradesh J&K State Board of School Education, Jammu Fujimigake Senior High School, Japan Jharkhand Academic Council, Ranchi Jharkhanda Intermediate Council Education, Jharkhanda Gullberga Univsersity, Karnataka Board of Pre-University Education, Karnataka Karnataka Secondary Education Examination Board, Karnataka Department of Pre-University Education Board, Bangalore University of Calicut, Kerala Gandhiji University, Kerala University of Kerala, Kerala Kerala Board of Pre-Examination, Kerala Board of Higher Secondary Education, Kerala

10 Bihar 11 Chhatisgarh 12 Chhattisgarh 13 Goa 14 Gujuart 15 Haryana 16 Haryana

17 Himanchal Pradesh HPBE, Himanchal Pradesh 18 Jammu & Kashmir 19 Japan 20 Jharkhand 21 Jharkhanda 22 Karnataka 23 Karnataka 24 Karnataka 25 Karnataka 26 Kerala 27 Kerala 28 Kerala 29 Kerala 30 Kerala J&KSBSE, Jammu FSHS, Japan JAC, Ranchi JICE, Jharkhanda Gullberga Univsersity BPUE, Karnataka KSEEB, Karnataka DPUEB, Karnataka University of Calicut, Kerala Gandhiji University, Kerala University of Kerala, Kerala KBPE, Kerala BHSE, Kerala

Sl# State 31 Madhya Pradesh 32 Maharashtra 33 Maharastra 34 Manipur 35 Manipur 36 Meghalaya 37 Mizoram 38 Nagaland 39 Nepal 40 New Delhi 41 New Delhi 42 New Delhi 43 New Delhi 44 New Delhi 45 Odisha 46 Odisha 47 Odisha 48 Odisha 49 Punjab 50 Rajasthan 51 Rajasthan 52 Tamil Nadu 53 Tamil Nadu 54 Tamilnadu 55 Tripura 56 UK 57 USA 58 Uttar Pradesh 59 Uttarakhand 60 Uttarakhanda 61 West Bengal 62 West Bengal 63 West Bengal

Short Name BSE, Madhya Pradesh MSBS&HSE, Maharashtra Marathawada University MBSE, Manipur CHSE, Manipur MBSE, Meghalaya MBSE, Mizoram NBSE, Nagaland HSEE, Nepal RSS, New Delhi CBSE, New Delhi CISCE, New Delhi NIOS, New Delhi JMI, New Delhi BIVPA, Odisha SJSV, Odisha CHSE, Odisha SJSV, Puri PSEB, Punjab Banasthali Bidyapitha, Rajasthan BSE, Rajasthan TNBHSE, Tamil Nadu BHSE, Tamilnadu SBSE, Tamilnadu TBSE, Tripura Londan University SBOHIO, USA UPBHSIE. Uttar Pradesh BSE, Uttarakhand WSS, Masoori WBCHSE, West Bengal WBBSE, West Bengal WBBME, West Bengal

Equivalent Board Board of Secondary Examination, Madhya Pradesh Maharashtra State Board of Secondary & Higher Secondary Education Marathawada University, Maharastra Manipur Board of Scondary Education, Manipur Council of Higher Secondary Education, Manipur Meghalaya Board of School Education, Meghalaya Mizoram Board of School Education, Mizoram Nagaland Board of School Education, Nagaland Higher Secondary Education Board, Nepal Rastriya Sanskrit Sanstan, New Delhi Central Board of Secondary Education, New Delhi Council for Indian School Certificate Examinations, New Delhi National Institute of Open Schooling, New Delhi (Conditionally) Jamia Millia Islamia, New Delhi Bimbadhar Institute of Visual & Performing Art, Orissa Sri Jagannath Sanskrit Vishvavidyalaya, Orissa Council of Higher Secondary Education, Odisha (HS Vocational Examination) Sri Jagannath Sanskrit Vishvavidyalaya, Puri, Odisha Punjab School Education Board, Punjab Banasthali Bidyapitha, Rajasthan Board of Secondary Education, Rajasthan Tamil Nadu Board of Higher Secondary Education, Tamil Nadu Board of Higher Secondary Examination, Tamilnadu State Board of School Examinations, Tamilnadu Tripura Board of Secondary Education, Tripura Londan University, UK State Board of OHIO, USA UP Board of High School & Intermediate Education, Uttar Pradesh Board of School Education, Uttarakhand Wood Stock School, Masoori West Bengal Council of Higher Secondary Education, West Bengal West Bengal Board of Secondary Education, West Bengal West Bengal Board of Madrasah Education, West Bengal

Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

19

Annexure-4 (Sample Copy of Intimation Letter)

201011

+3

IntimationLetter
forAdmissiontoDegreeColleges
DepartmentofHigherEducation,GovernmentofOrissa

MoneyReceiptcum IndexNumber 22191904 0034

(FirstSelection)
To RAMMOHANBEHERA BAIRAGICHARANBEHERA 1241,5thLane,BeheraSahi,Bhadrak,756100 Bhadrak,Orissa Congratulations!!! Youhavebeenselected/inwaitinglistforadmissionintoDegreeclassesasperfollowingdetails.

ConfirmedInformation
CollegeName MaharajaPurnaChandra(Autonomous)College,Baripada Stream Science CBZ YourChoicein College Hostel CAF Rank Rank Option03 15 45

WaitingInformationforhigheroptions.
Sl# CollegeName Stream General WaitingRank Reservation Weightage YourChoices inCAF

1 Bhadrak(Autonomous)College,Bhadrak 2 FakirMohan(Autnomous)College,Balasore Youarerequestedtoreporttotheprincipal withfollowingdocumentsinoriginalon 1 2

Science PCM Science PCM

115 126

CoM:18 CoM:13

NSS34 NSS21

Option01 Option02

MaharajaPurnaChandra(Autonomous)College,Baripada (5Jul2010at10:00AM)

Cash/BankDraftfortotalfeesrequiredforadmissionmentionedagainsteachcollegeinCommonProspectus for'Admission' OriginalBoardCertificateofHigherSecondaryorequivalentOROriginalBoardMarkSheetcumProvisional CertificateofHigherSecondaryorequivalentasthecasemaybe.

3 OriginalCollegeLeavingCertificate(CLC) 4 OriginalConductCertificatefromtheinstitutionlastattended 5 Threerecentcolorpassportsizephotographs 6 OriginalCertifiedtruecopyoftheCoMCertificatefromDistrcitCollector 7 OriginalNSSCertificatefromthetheStateProgrammeCoordinator 8 OriginalHigherSecondaryMarkSheetscumProvisionalCertificateofCcompartmentalExam.

ForanyclarificationcallusatTollFreeNo.:155335(Workingdaysfrom10:00AM03:00PM)

17

Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

20

Annexure-5 (CAF College Copy)

CommonApplicationForm
forAdmissiontoDegreeColleges
DepartmentofHigherEducation,GovernmentofOrissa

CollegeCopy
Forofficialuseonly MoneyReceiptcum IndexNumber FeesAmount(Rs.)

+3
SignatureoftheReceiving Official
RollNumber 888AB888

10 D 000001

/ 200
DateofSubmission atCollege

10thBoardDetails
(Asinadmitcard)

a.

NameoftheExaminationBoard OrissaCHSE,Bhubaneswar

b.

YearofPassing 2010

c.

2 Applicant'sName 3 Father'sName 4 Mother'sName 5 PersonalDetails a.

RAMMOHANBEHERA BAIRAGICHARANBEHERA MAMATARANIBEHERA

BloodGroup O+ve

Affixyourself attested(onthe front)recent colourpassport sizephotographs here

Religion Hindu

b.

Sex Male

c.

d.

DateofBirth 01/01/1994

6 AddressforCorrespondence a. State d. Details Orissa b. District Bhadrak c. Block/ULB e. PINCode 9090120120 h. email Bhadrak 756100 ramohan@gmail.com

1241,5thLane,BeheraSahi,Bhadrak 06784 330055 g. Mobile

f. Telephone

7 ReservationDetails a. c. d. e.

NO NO NO NO

ScheduleTribe(ST)

NO NO

ScheduleCaste (SC)

Yes

Others

b.

Yes Yes

Physically/Orthopadically Handicapped(PH/OH) ChildrenofMatrys(CoM)

ExServiceMan(ESM)

ServingDefencePersonnel(SDP)

AreyouanOutsideStateApplicant(OSA)?

AreyouOriyaLivinginNeighbouringState(OLNS)?

8 WeighatgeDetails a. NCC No
NCC(B)

b. NSSCamp No
NCC(C)

No

UniversityLevel

Yes

StateLevel

No

NationalLevel

No

InternationalLevel

c. Rover&Ranger No
RajyaPuraskar(RP)

d. Sports&Games No
PresidentRecognition(PR)

No

InterState

No

NationalLevel

No

InternationalLevel

18

9 Marksecuredineachsubjectin+2CouncilExamination
a. NameoftheStream
youhavepassed

Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

TotalMark Secured 490 Maximum Mark 600

Science

b. Marksecuredineach
subject

English 65

Chemistry 97

Biology 87

c.

Haveyoupassed10thBoard ExamCompartmentally?

Yes

NameoftheSubject Ifyes Physics

Failmarkinpreviousexam 22

PassmarkinCompartmentalexam 46

10 Option(s)/Choice(s)Details Honoursinorderofpreference Option CollegeName Stream First

First Second Third Bhadrak(Autonomous)College,Bhadrak FakirMohan(Autnomous)College,Balasore MaharajaPurnaChandra(Autonomous) College,Baripada SciencePCM SciencePCM ScienceCBZ Physics Physics Botany

ResideOption Second
Chemistry Chemistry Zoology

Third
Mathematics Mathematics NIL CollegeHostel CollegeHostel CollegeHostel

UNDERTAKING I do hereby agree to abide by the rules of College/Hostel. I undertake that should any indiscipline and disobedience instance of the rules laid down by the Government or any authority empowered by them in this regard or should any conduct in the college is found not satisfactory, my name will automatically be removed from the college. I undertake that information furnished by me in this application is true and correct and I undertake that any wrong information furnished byme,detectedafterwardswillbetreatedascognizableoffence. I further undertake that I will not involve in any ragging activities in the College and hostel premises. I understand that criminalcasewillbefiledagainstmeifIindulgeinragging. Iherebyfullyendorsetheundertakingmadebyour child/ward Signatureorthumbimpressionofparents/guardian Date Place Submittedbyme

Date

FullSignatureofApplicant Place

Enclosures(ThefollowingdocumentswouldenclosedalongwiththeCAF)
1 2 3 4 5 6 Selfsigned(onthefrontside)colourpassportsizephotographtobeaffixedintheCAF CertifiedtruecopyoftheHigherSecondaryMarkSheetscumProvisionalCertificate(orequivalentBoard). CertifiedtruecopyofthePH/OHCertificatefromCDMOofDistrict/SDMOofSubDivision/CMOofCapitalHospital CertifiedtruecopyoftheCoMCertificatefromDistrcitCollector CertifiedtruecopyoftheNSSCertificatefromtheCompetentAuthorities CertifiedtruecopyoftheHigherSecondaryMarkSheetscumProvisionalCertificateofCcompartmentalExam.

19

21

Higher Education Department, Govt. of Odisha

Annexure-6 (CAF Applicant Copy)

Common Prospectus | Degree | SAMS 2010

CommonApplicationForm
forAdmissiontoDegreeColleges
DepartmentofHigherEducation,GovernmentofOrissa

ApplicantCopy
Forofficialuseonly MoneyReceiptcum IndexNumber FeesAmount(Rs.) 1 10thBoardDetails
(Asinadmitcard)

10 J 000001

/ 200
a. DateofSubmission atCollege b.
YearofPassing 2010

SignatureoftheReceiving Official c.
RollNumber 888AB888

NameoftheExaminationBoard OrissaCHSE,Bhubaneswar

2 Applicant'sName 3 Father'sName 4 Mother'sName 5 PersonalDetails a.

RAMMOHANBEHERA BAIRAGICHARANBEHERA MAMATARANIBEHERA

BloodGroup O+ve

b.

Sex Male

c.

Religion Hindu

d.

DateofBirth 01/01/1994

6 AddressforCorrespondence a. State d. Details Orissa b. District Bhadrak c. Block/ULB e. PINCode 9090120120 h. email Bhadrak 756100 ramohan@gmail.com
Physically/Orthopadically Handicapped(PH/OH) Handicapped (PH/OH) ChildrenofMatrys(CoM)

1241,5thLane,BeheraSahi,Bhadrak 06784 330055 g. Mobile

f. Telephone

7 ReservationDetails a. c. d. e.

NO NO NO NO

Sc edu e ScheduleTribe(ST) be (S ) ExServiceMan(ESM)

NO

ScheduleCaste(SC) ( )

Yes

Ot e s Others

b.

Yes Yes

NO

ServingDefencePersonnel(SDP)

AreyouanOutsideStateApplicant(OSA)? AreyouOriyaLivinginNeighbouringState(OLNS)?

8 WeighatgeDetails a. NCC No NCC(B) No

NCC(C)

b. NSSCamp No UniversityLevel
PresidentRecognition(PR)

Yes

StateLevel

No

NationalLevel

No No

InternationalLevel

c. Rover&Ranger No RajyaPuraskar(RP)

No

d. Sports&Games InterState No No

NationalLevel

InternationalLevel

9 Marksecuredineachsubjectin+2CouncilExamination
a. NameoftheStream
youhavepassed

Science

b. Marksecuredineach
subject

English 65

Chemistry 97

Biology 87

TotalMark Secured 490

Maximum Mark 600

c.

Haveyoupassed10thBoard ExamCompartmentally?

Yes

Ifyes

NameoftheSubject Physics

Failmarkinpreviousexam 22

PassmarkinCompartmentalexam 46

10 Option(s)/Choice(s)Details Option
First Second Third

CollegeName
Bhadrak(Autonomous)College,Bhadrak FakirMohan(Autnomous)College,Balasore MaharajaPurnaChandra(Autonomous) College,Baripada

Stream
SciencePCM SciencePCM ScienceCBZ

Honoursinorderofpreference First
Physics Physics Botany

ResideOption
CollegeHostel CollegeHostel CollegeHostel

Second
Chemistry Chemistry Zoology

Third
Mathematics Mathematics NIL

ReferenceNumber

10J000001
20

Password

DKR141410

Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

22 Annexure-7 (Undertaking)

SAMS|eAdmission2010 DepartmentofHigherEducation GovernmentofOrissa Undertaking

+3

FullNameofthe Applicant

MoneyReceiptcum IndexNumber

CAFSerialNumber

Iherewithundertakethat,Iwillcontinuewith1stSelectionCollege/Stream as per my intimation letter in the 1st selection. I will not be part of 2nd Selection. My name would be removed from the 2nd Selection Admission Process.

Signatureorthumbimpression ofparents/guardian Date :_________________________ Place:_________________________

FullSignatureofApplicant Date :_________________________ Place:_________________________

21

Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

23

Annexure-8 (Additional Information Form)

DepartmentofHigherEducation,GovernmentofOrissa

AdditionalInformationForm

+3
CAFBarcodeNumber

MoneyReceiptcumIndexNumber
/

1 Applicant'sName 2 3 GuardianName
(Ifparentsarenotalive

PermanentAddress
(Itmaynotbefilledup,ifPermanentAddressissameasCorrespondenceAddressinCAF) b. Street/Village d. Block/ULB f. District h. PINCode
STDCode Number

a. HouseNo. c. PostOffice e. PoliceStn. g. State i. Telephone

j. Mobile

4 Nationality 6 IncomeDetailsofParents
a. Father'sOccupation b. Mother'sOccupation b. AnnualIncomeoftheParents (Together)inRs.

Mother Tongue

7 Recordofeducationalinstitutionlastattended
a. Nameofthe Institution b. Institution d. Yearof Joining
Locationofthe

c. District

e.

Yearof Leaving

Iherebyfullyendorsetheinformationgivenbyour child/ward Signatureorthumbimpressionofparents/guardian Date Place

Submittedbyme

Date

FullSignatureofApplicant Place

22

Higher Education Department, Govt. of Odisha

Common Prospectus | Degree | SAMS 2010

Important Dates (Tentative)

These dates have been finalized on assumption that CHSE, Orissa will declare +2 Council results on 22-May-2010. If the declaration of CHSE (O) results is delayed, then these dates will be shifted by that many days and will be notified in the newspaper.

Sl# Activities 1 2 3 4 5 6 7 8 9 Last date of applying on-line Last date of submission of CAF in any of 53 Degree Colleges Publication of First selection list Admission of First selection for applicants at Destination College Publication of Second selection list Admission of Second selection for applicants at Destination College Publication of ST/SC Extension Seat Admission of ST/SC Extension Seat Publication of list for admission to Balance Seat Classes start for 1st year student (in all 53 Degree Colleges)

Date Line 07-Jun-2010 10-Jun-2010 18-Jun-2010 26-28 Jun 2010 03-July-2010 07-08 July 2010 12-July-2010 14-July-2010 15-July-2010 16-July-2010 20-July-2010

10 Admission to Balance Seat 11

The above dates are applicable to all Degree Colleges of the State which includes SAMS and Non SAMS Degree / Autonomous Colleges. No Degree college should fix any other dates for admission.
23